Organization Active NPI

With Grace Counseling and Consulting International, PLLC

  • Marriage & Family Therapist
  • Chicago Heights, IL
National Provider Identifier
1831928449
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
WITH GRACE COUNSELING AND CONSULTING INTERNATIONAL, PLLC
Practice address
851 N Maple Dr
Chicago Heights, IL 60411-2124
Phone
(773) 983-6417
NPI assigned
Jul 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer Renee Young, PH.D.NPI 1053020107
Title
Owner/Ceo
Phone
(773) 983-6417

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

851 N Maple Dr
Chicago Heights, IL 60411-2124

Mailing address

1333 W End Ave
Chicago Heights, IL 60411-2748
Phone (773) 983-6417

National Provider Directory

National Provider Directory

Locations

1333 W End Ave
Chicago Heights, IL 60411

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1831928449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 W END AVE",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604112748",
            "telephone_number": "773-983-6417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 N MAPLE DR",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604112124",
            "telephone_number": "773-983-6417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WITH GRACE COUNSELING AND CONSULTING INTERNATIONAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "773-983-6417",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.